NSG 100 practice test questions with
correct answers
A nurse is assisting with transferring a client from bed to wheelchair. Which of the
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following actions should the nurse take?
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A. place the wheelchair at a 90 degree angle
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B. lock the wheels of the bed and wheelchair
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C. acquire the help of several people to lift the client
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D. elevate the bed toa. position of comfort for the nurse
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B.
The nurse should keep the wheels of the bed and wheelchair locked to prevent
| | | | | | | | | | | | | |
them from moving when transferring client
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A home health nurse is assessing an older adult client who reports falling a
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couple of times over the past week. Which of the following findings should the
| | | | | | | | | | | | | |
nurse suspect is contributing to the client's falls?
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A. the client takes alprazolam
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B. the client has a non-slip bath mat in his shower
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C. the client uses a raised toilet seat
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D. the client wears fitted slippers
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A.
Alprazolam is a CNS depressant that can cause dizziness and orthostatic
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hypotension, which can cause the client to lose his balance and fall
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A nurse has been reassigned from her regular area of work to a unit that is short
| | | | | | | | | | | | | | | | |
staffed. Which of the following actions should the nurse take first?
| | | | | | | | | |
,A. ask what she will be assigned to do
| | | | | | | |
B. determine if she has the skills to complete the assignment
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C. identify her options
| | |
D. notify the nurse manager about her concerns for client safety
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A.
Before accepting the assignment, the nurse should clarify the complexity of the
| | | | | | | | | | | |
assignment, such as how many clients she will be assigned to care for, what skills
| | | | | | | | | | | | | | |
are needed, and what resources are available to her.
| | | | | | | |
A nurse is caring for an older adult client who states, "I am afraid that I may fall
| | | | | | | | | | | | | | | | | |
while walking to the bathroom during the night." Which of the following actions
| | | | | | | | | | | | |
should the nurse take? | | |
A. limit the client's fluid intake in the evening
| | | | | | | |
B. obtain a bedside commode for the client's use
| | | | | | | |
C. leave a nightlight on in the client's room
| | | | | | | |
D. put the side rails up and tell the client to call the nurse before voiding
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C.
This is an appropriate action for keeping the client safe. Night vision may be
| | | | | | | | | | | | | |
impaired in older adult clients. If the client awakens in the night, a nightlight may
| | | | | | | | | | | | | | |
help the client to recognize the surroundings, decreasing the likelihood of
| | | | | | | | | | |
disorientation. It will also help to decrease the possibility of a fall on the way to
| | | | | | | | | | | | | | | |
the bathroom because the path will be illuminated and the client will be less
| | | | | | | | | | | | | |
likely to trip over objects in the room.
| | | | | | |
A home health nurse is conducting a home safety assessment for an older adult
| | | | | | | | | | | | | |
client. Which of the following findings should the nurse identify as a safety risk
| | | | | | | | | | | | | |
for the client? (Select all that apply)
| | | | | |
A. bathtub with rails
| | |
B. Electric cords behind the furniture
| | | | |
, C. raised toilet seats
| | |
D. water heater temperature 130F
| | | |
E. throw rugs
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D & E.
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Bathtub with rails is incorrect. Rails and grab bars promote safety at home,
| | | | | | | | | | | | |
especially in bathrooms, where floors and other surfaces are often slippery.
| | | | | | | | | |
Electric cords behind the furniture is incorrect. The nurse should make sure all
| | | | | | | | | | | | |
electrical cords are secure against the walls or baseboards or under or behind
| | | | | | | | | | | | |
furniture so that the client does not trip over them.
| | | | | | | | |
Raised toilet seats is incorrect. Raised toilets seats make it easier for older adults
| | | | | | | | | | | | |
to sit down on and get up from the toilet.
| | | | | | | | | |
Water heater temperature 54.4°C (130° F) is correct. The nurse should
| | | | | | | | | | |
recommend setting the water heater's temperature no higher than 49°C (120° F).
| | | | | | | | | | |
Throw rugs is correct. The nurse should recommend removing or securing any
| | | | | | | | | | | |
rugs or mats that could move and cause the client to slip, slide, or trip.
| | | | | | | | | | | | | |
A nurse is prioritizing client care after receiving change-of-shift report. Which of
| | | | | | | | | | | |
the following clients should the nurse plan to see first?
| | | | | | | | |
A. A client who is scheduled for an abdominal x-ray and is awaiting transport
| | | | | | | | | | | | |
B. a client who has a prescription for discharge
| | | | | | | |
C. a client who received oral pain medication 30 mins ago
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D. a client who told AP he is SOB
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D.
A client who has shortness of breath is unstable; therefore, this is the client the
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nurse should plan to see first.
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A nurse is caring for a client following a total laryngectomy. Which of the
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following is a priority observation in the client's care?
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correct answers
A nurse is assisting with transferring a client from bed to wheelchair. Which of the
| | | | | | | | | | | | | |
following actions should the nurse take?
| | | | | |
A. place the wheelchair at a 90 degree angle
| | | | | | | |
B. lock the wheels of the bed and wheelchair
| | | | | | | |
C. acquire the help of several people to lift the client
| | | | | | | | | |
D. elevate the bed toa. position of comfort for the nurse
| | | | | | | | | |
B.
The nurse should keep the wheels of the bed and wheelchair locked to prevent
| | | | | | | | | | | | | |
them from moving when transferring client
| | | | |
A home health nurse is assessing an older adult client who reports falling a
| | | | | | | | | | | | | |
couple of times over the past week. Which of the following findings should the
| | | | | | | | | | | | | |
nurse suspect is contributing to the client's falls?
| | | | | | |
A. the client takes alprazolam
| | | |
B. the client has a non-slip bath mat in his shower
| | | | | | | | | |
C. the client uses a raised toilet seat
| | | | | | |
D. the client wears fitted slippers
| | | | |
A.
Alprazolam is a CNS depressant that can cause dizziness and orthostatic
| | | | | | | | | | |
hypotension, which can cause the client to lose his balance and fall
| | | | | | | | | | |
A nurse has been reassigned from her regular area of work to a unit that is short
| | | | | | | | | | | | | | | | |
staffed. Which of the following actions should the nurse take first?
| | | | | | | | | |
,A. ask what she will be assigned to do
| | | | | | | |
B. determine if she has the skills to complete the assignment
| | | | | | | | | |
C. identify her options
| | |
D. notify the nurse manager about her concerns for client safety
| | | | | | | | | |
A.
Before accepting the assignment, the nurse should clarify the complexity of the
| | | | | | | | | | | |
assignment, such as how many clients she will be assigned to care for, what skills
| | | | | | | | | | | | | | |
are needed, and what resources are available to her.
| | | | | | | |
A nurse is caring for an older adult client who states, "I am afraid that I may fall
| | | | | | | | | | | | | | | | | |
while walking to the bathroom during the night." Which of the following actions
| | | | | | | | | | | | |
should the nurse take? | | |
A. limit the client's fluid intake in the evening
| | | | | | | |
B. obtain a bedside commode for the client's use
| | | | | | | |
C. leave a nightlight on in the client's room
| | | | | | | |
D. put the side rails up and tell the client to call the nurse before voiding
| | | | | | | | | | | | | | |
C.
This is an appropriate action for keeping the client safe. Night vision may be
| | | | | | | | | | | | | |
impaired in older adult clients. If the client awakens in the night, a nightlight may
| | | | | | | | | | | | | | |
help the client to recognize the surroundings, decreasing the likelihood of
| | | | | | | | | | |
disorientation. It will also help to decrease the possibility of a fall on the way to
| | | | | | | | | | | | | | | |
the bathroom because the path will be illuminated and the client will be less
| | | | | | | | | | | | | |
likely to trip over objects in the room.
| | | | | | |
A home health nurse is conducting a home safety assessment for an older adult
| | | | | | | | | | | | | |
client. Which of the following findings should the nurse identify as a safety risk
| | | | | | | | | | | | | |
for the client? (Select all that apply)
| | | | | |
A. bathtub with rails
| | |
B. Electric cords behind the furniture
| | | | |
, C. raised toilet seats
| | |
D. water heater temperature 130F
| | | |
E. throw rugs
| |
D & E.
| | |
Bathtub with rails is incorrect. Rails and grab bars promote safety at home,
| | | | | | | | | | | | |
especially in bathrooms, where floors and other surfaces are often slippery.
| | | | | | | | | |
Electric cords behind the furniture is incorrect. The nurse should make sure all
| | | | | | | | | | | | |
electrical cords are secure against the walls or baseboards or under or behind
| | | | | | | | | | | | |
furniture so that the client does not trip over them.
| | | | | | | | |
Raised toilet seats is incorrect. Raised toilets seats make it easier for older adults
| | | | | | | | | | | | |
to sit down on and get up from the toilet.
| | | | | | | | | |
Water heater temperature 54.4°C (130° F) is correct. The nurse should
| | | | | | | | | | |
recommend setting the water heater's temperature no higher than 49°C (120° F).
| | | | | | | | | | |
Throw rugs is correct. The nurse should recommend removing or securing any
| | | | | | | | | | | |
rugs or mats that could move and cause the client to slip, slide, or trip.
| | | | | | | | | | | | | |
A nurse is prioritizing client care after receiving change-of-shift report. Which of
| | | | | | | | | | | |
the following clients should the nurse plan to see first?
| | | | | | | | |
A. A client who is scheduled for an abdominal x-ray and is awaiting transport
| | | | | | | | | | | | |
B. a client who has a prescription for discharge
| | | | | | | |
C. a client who received oral pain medication 30 mins ago
| | | | | | | | | |
D. a client who told AP he is SOB
| | | | | | | |
D.
A client who has shortness of breath is unstable; therefore, this is the client the
| | | | | | | | | | | | | | |
nurse should plan to see first.
| | | | |
A nurse is caring for a client following a total laryngectomy. Which of the
| | | | | | | | | | | | | |
following is a priority observation in the client's care?
| | | | | | | |
